Zizindikiro zachitetezo
Kafukufuku yemwe adasindikizidwa mu nyuzipepala ya Infection Control and Hospital Epidemiology (tinyurl.com/pdjoesh) akuwonetsa 99% ya maopaleshoni omwe adafunsidwa adadwala ndodo imodzi yokha pantchito yawo.Vuto, zindikirani ofufuza, ndikuti kuphulika kwa magolovesi opangira opaleshoni nthawi zambiri sikudziwika, kutanthauza kuti maopaleshoni amatha kukhala pachiwopsezo chamagazi komanso kuopsa kwa matenda osadziŵa.
KUGWIRITSA NTCHITO OPANDA
Zimangotenga Masabata a 2 okha kuti Mumve Kumvedwa Pawiri-Gloving
Ymadokotala athu opaleshoni mwina amaganiza kuti awiri gloving amachepetsa tilinazo dzanja ndi dexterity."Ngakhale kuti pali zambiri zomwe zimathandizira magalasi awiri, vuto lalikulu la kuchitapo kanthu ndi kusowa kwa madokotala ochita opaleshoni," analemba ofufuza Ramon Berguer, MD, ndi Paul Heller, MD, mu Journal of the American College of Surgeons. tinyurl.com/cd85fvl).Nkhani yabwino, ofufuzawo akuti, sizitenga nthawi yayitali kuti maopaleshoni ayambe kumverera kuti akumva kufooka kwa manja komwe kumalumikizidwa ndi ma gloving awiri.
"Mapangidwe amakono a underglove amapangitsa kuti ma glove awiri azikhala omasuka kwambiri ndipo apangitsa kuti pakhale tsankho la 2 - kuthekera kwa dokotala wochita opaleshoni kumva mfundo za 2 kukhudza khungu lake," akutero Dr. Masabata a 2 ndikuyesa koyamba.
—Daniel Cook
Ofufuzawo akuti kuphulika kwa magolovesi kumasiyanasiyana, ngakhale kuti zoopsa zimakwera mpaka 70% panthawi yochita maopaleshoni omwe amafunikira kuyesetsa kwakukulu m'mabowo akuya ndi kuzungulira.
mafupa.Ananenanso kuti kafukufuku akuwonetsa kuti chiwopsezo chokhudzana ndi magazi chatsika kuchokera ku 70% ndi magolovesi amodzi mpaka otsika ngati 2% okhala ndi magolovesi awiri, mwina chifukwa glove yamkati idawonetsedwa kukhalabe mpaka 82% ya milandu.
Kuti adziwe kuchuluka kwa magazi omwe amasamutsidwa kudzera m'magulu amodzi kapena awiri a magolovesi povulala pakhungu, ofufuzawo adakakamira khungu la nkhumba ndi ma lancets odzipangira okha, omwe amatengera zomangira za singano.Malinga ndi zomwe apeza, magazi okwanira 0.064 L amasamutsidwa m'mapapo akuya 2.4mm kudzera pa glove 1 wosanjikiza, poyerekeza ndi 0.011 L yokha ya magazi.
zigawo ziwiri za magolovesi, zomwe zikutanthauza kuti voliyumu idachepetsedwa ndi 5.8.
Makamaka, magolovesi apawiri omwe adagwiritsidwa ntchito mu phunziroli adaphatikizapo njira yowonetsera: magolovesi obiriwira amkati ovala ndi magolovesi akunja amtundu wa udzu.Malinga ndi ochita kafukufuku, ma punctures onse a kunja kwa magolovesi ankadziwika bwino ndi mtundu wobiriwira wa underglove womwe umawonekera pamalo opunthirapo.Kusiyanitsa kwa mitundu kumachepetsa chiopsezo chotenga magazi mwa kuchenjeza madokotala ndi ogwira ntchito za maopaleshoni omwe mwina sakanadziwika.
Ofufuzawo anati: “Kuvala ma gloving kawiri kuyenera kulimbikitsidwa pa maopaleshoni onse ndipo kuyenera kufunidwa pa njira zomwe zimachitikira odwala omwe ali ndi matenda odziwika bwino kapena odwala omwe sanayezedwepo ngati ali ndi matenda.Amanenanso kuti ngakhale chitetezo cha ma gloving awiri chikuwonekera, sichinali chizoloŵezi chifukwa cha kuchepa kwa dexterity ndi kukhudza kukhudza (chifukwa cha umboni wotsutsa, onani m'mbali mwa mbali pansipa).
Opaleshoni 's riskiest zapaderazi
Lipoti la Acta Orthopædica Belgica (tinyurl.com/qammhpz), magazini yovomerezeka ya Belgian Society of Orthopedics and Traumatology, inanena kuti kuphulika kwa magulovu kumayambira pa 10% pa ophthalmology kufika pa 50% pa opaleshoni wamba.Koma kupsyinjika ndi kupsyinjika kwa macheka ozungulira, zida zachitsulo ndi ma implants panthawi yamankhwala opangira mafupa kumapangitsa magolovesi kumeta ubweya wambiri, zomwe zimayika mafupa pachiwopsezo chachikulu pakati pa akatswiri ochita opaleshoni, atero ofufuzawo.
Mu kafukufukuyu, ochita kafukufukuwo adawunika kuchuluka kwa ma glove ophulika panthawi yayikulu ya m'chiuno ndi mawondo komanso ma arthroscopies ang'onoang'ono a mawondo.Anayang'ananso momwe ma gloving awiri amakhudzira kuchuluka kwa kuphulika komanso ngati mitengo imasiyana pakati pa maopaleshoni, othandizira awo ndi anamwino OR.
Kuphulika kwa magolovesi onse kunali 15.8%, ndi 3.6% pa nthawi ya arthroscopies ndi 21.6% panthawi yolowa m'malo.Zoposa 72% za zophwanya sizinadziwike mpaka ndondomekoyi itatha
anamaliza.3% yokha ya magolovesi amkati anali pangozi - palibe panthawi ya arthroscopies - poyerekeza ndi 22.7% ya magolovesi akunja.
Zachidziwikire, 4% yokha ya zobowola zomwe zidalembedwa panthawi yayikulu zidakhudza zigawo zonse za magulovu.Gawo limodzi mwa magawo anayi a maopaleshoni 668 omwe adachita nawo kafukufukuyu adadwala magulovu ophulika, omwe anali okwera kwambiri kuposa 8% ya othandizira 348 ndi anamwino 512 omwe adakumananso ndi zomwezo.
Ofufuzawo akuwona kuti gloving kawiri mu njira za mafupa amachepetsa kwambiri kuphulika kwa magolovesi amkati.
Ngakhale ogwira ntchito opaleshoni omwe amatsuka bwino amachepetsa chiopsezo chotenga matenda obwera ndi magazi pamene magolovesi aphulika, akuwonjezera kuti, kafukufuku wam'mbuyomu wasonyeza kuti chikhalidwe cha mabakiteriya omwe amatengedwa kumalo obowola chakhala chabwino pafupifupi 10% ya nthawiyo.
Nthawi yotumiza: Jan-19-2024